Individual provider Active NPI

Sara L Crain, M.A., M.F.T.

  • Marriage & Family Therapist
  • Alameda, CA
National Provider Identifier
1063536241
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 44479 Issued in CA
Practice address
2416-A Central Ave.
Suite B
Alameda, CA 94501-4516
Phone
(925) 284-6987
Fax
(888) 297-6166
NPI assigned
Mar 16, 2007
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 44479 CA Primary

Addresses

Primary practice location

2416-A Central Ave.
Suite B
Alameda, CA 94501-4516

Mailing address

1271 Washington Ave Ste 919
San Leandro, CA 94577-3646
Phone (925) 284-6987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 44479CAMDMarriage & Family Therapist
44479CAMDPhlebotomy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1063536241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 WASHINGTON AVE STE 919",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773646",
            "telephone_number": "925-284-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416-A CENTRAL AVE.",
            "address_2": "SUITE B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014516",
            "telephone_number": "925-284-6987",
            "fax_number": "888-297-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "SARA",
        "middle_name": "L",
        "credential": "M.A., M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.